This video submission is from the 2025 CTSNet Innovation Video Competition. Watch all entries from the competition, including the winning videos. [3]   

This video shows the different discussions between the surgeon and the proctor that were made possible thanks to teleproctoring in a complex robotic-assisted thoracic surgery (RATS) case. A 66 -year-old patient with a metachronous squamous cell carcinoma originating from the B6 bronchus of the right lower lobe had undergone a complete workup. Due to a previous contralateral lobectomy more than a decade earlier, the patient’s lung function was marginal, with a forced expiratory volume in one second (FEV1) of 1.49L and a diffusion capacity of the lungs for carbon monoxide (DLCO) of 41 percent. The authors therefore opted for a bronchoplastic segmentectomy. Teleproctoring support during the entire surgery provided significant benefits. This video illustrates the different crucial steps along with the exchange of technical options. 

References

1. Saji H et al. Lancet 2022:399:1607-17.
2. Altorki N et al. N Engl J Med 2023:388:489-98.
3. Yano K et al. JTCVS Open 2024;18:261-75.

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